Case report
Toffik presenting eye bilateral lesions and nasal crusts
Dr. Magdalena Stasiowska
Przychodnia Weterynaryjna –
Wrocław, Poland
Warning:
this file contains pictures that may be distressing for people.
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„Toffik”
- intact male rabbit, 5 month old, was bought at young age in the market
place. He was never vaccinated against any diseases. He was presented because
of the lesions the owners have noticed inside his eye balls, otherwise Toffik appeared normal. During the clinical
examination he was in a good shape, alert and reacted normally to stimuli.
The visible abnormalities were: 1) Nose: Presence of sero-purulent
discharge from the nose, which dried and formed a big, hard crust (arrows),
which could not be easily removed – but it was not of the owners concern –
they thought it was normal, because the rabbit did not show any discomfort
and did not rub the nose, which seemed strange, because it is a common sign
of the „running nose”.
2) Eyes: bilateral lesions - the purulent
discharge in the anterior chamber, hyperemia (excess presence of blood) and
edema (abnormal accumulation of fluids) of the iris, which are consisting signs
with phacoclastic uveitis.
The condition is caused by Encephalitozoon
cuniculi invasion or bacterial infection, mostly with Pasteurella
sp.
I have removed the crust from
the nose and took some material for the culture. The result was negative for
fungi, but the massive growth of beta- haemolytic treptococci and Enterobacter
sp. was noted. Both bacteria strains were sensitive to enrofloxacin only. Toffik was started on enrofloxacin given orally twice a
day for a week, then once a day for the next week. Besides the owners were
advised to give him eye drops 3-4 times a day, one week NSAID’s and the other
one steroid. After the treatment the ocular lesion became less apparent, but
there was not complete healing. The nose discharge was no longer present. The
rabbit was feeling very good and the owners did not agree for the further tests.
The pictures were made during initial presentation and after 2 weeks of
treatment.
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